A New Dynamic Arm Holding Device For Microsurgical Operations In Neurosurgery

Abstract

ABSTRACT The hand holding devices are generally used during the course of micro-surgical operations in neurosurgery to prevent hand tremor. Recently we designed a new instrument for holding two arms. This instrument used for stabilization of two arms especially during microsurgical operations. We used this instrument in different type of operations such as aneurysm surgery, brain tumor surgery, hypophysis surgery, pontocerebellar tumor surgery and posterior fossa surgery. The ability of the instrument in the preventing of arm tremor, and comfort of the arm during surgery was graded as bad, good and excellent in terms of the description of surgeon during microsurgical operations. This instrument was used during 20 neurosurgical operations. The capability of the instrument during microsurgical operation was found as excellent in 65% of the operations. The capability was found as good in 35% of the operation. In conclusion; this instrument holds two arms in the same time and provide unrelated moving from each others. The capability of this instrument is high in the preventing of hand tremor. This instrument may be used during microsurgical operations in neurosurgery. J. Exp. Clin. Med., 2011; 28:111-116

Keywords

• Hand tremor Microsurgery Neurosurgery Hand holding device Brain surgery Surgical equipment

References

1. Gilsbach, J.M., Lutze, T., Seeger, W., 1984. Combined retractor and hand-rest system for neurosurgery. Neurosurg. Rev. 7, 85-87.
2. Gilsbach, J.M., Mann, W.J., Rochels, R., Amedee, R.G., Lieb, W., Laborde, G.,1994. Pterional/Lateral approach to orbital tumors. Skull Base Surg. 4, 72-5.
3. Kriss, T.C., Kriss V.M., 1998. History of the operating microscope: from magnifying glass to microneurosurgery. Neurosurgery. 42, 899-907.
4. Sugita, K., Kobayashi, S., Takemae, T., Matsuo, K., Yokoo, A., 1980. Direct retraction method in aneurysm surgery. Technical note. J. Neurosurg. 53, 417-419.
5. Sugita, K., Kobayashi, S., Shintani, A., Mutsuga, N., 1979. Microneurosurgery for aneurysms of the basilar artery. J. Neurosurg. 51, 615-20.
6. Sugita, K., Hirota, T., Mizutani, T., Mutsuga, N., Shibuya, M., Tsugane, R., 1978. A newly designed multipurpose microneurosurgical head frame. Technical note. J. Neurosurg. 48, 656-657.
7. Yaşargil, M.G., 2010. Personal considerations on the history of microneurosurgery. J. Neurosurg. 112, 1347.
8. Yaşargil, M.G., 2005. From the microsurgical laboratory to the operating theatre. Acta Neurochir (Wien). 147, 465-468.

9. Yaşargil, M.G., 1999. A legacy of microneurosurgery: memoirs, lessons, and axioms. Neurosurgery. 45, 1025-1092.
10. Yasargil, M.G., 1997. The advent of microsurgery. Mt. Sinai J. Med. May. 64, 164-165.
11. Yaşargil, M.G., 1988. Reflections of a neurosurgeon. Clin. Neurosurg. 34, 16-21.
12. Yaşargil, M.G., Boehm, WB., Ho, RE. 1978. Microsurgical treatment of cerebral aneurysms at the bifurcation of the internal carotid artery. Acta Neurochir (Wien). 41, 61-72.
13. Yaşargil, M.G., Chandler, W.F., Jabre, A.F., Roth, P., 1988. Neurosurgical horizons. Clin. Neurosurg. 34, 22-41.
14. Yasargil, M.G., Vise, W.M., Bader, D.C., 1977. Technical adjuncts in neurosurgery. Surg. Neurol. 8, 331-336